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Special Program for 11th & 12th Grade Families
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Ending the Silence: A Special Program Addressing the Mental Health Crisis in Young People
Monday, November 18: 5:45-7:15 p.m.
All Shaare Emeth families with 11th and 12th graders are welcome to join us!
*
Parent/Guardian First Name
*
Parent/Guardian Last Name
*
Parent/Guardian Email Address
Parent/Guardian Cell #
*
How many teens (11th & 12th graders) are you signing up?
Please Select One
1
2
3
Please note any dietary restrictions here:
*
Teen #1 First Name
Teen #2 First Name
Teen #3 First Name
*
Teen #1 Last Name
Teen #2 Last Name
Teen #3 Last Name
*
Teen #1 Email Address
Teen #2 Email Address
Teen #3 Email Address
*
Teen #1 Phone Number
Teen #2 Phone Number
Teen #3 Phone Number
Are you a member of Shaare Emeth?
Yes
No
Fri, May 9 2025
11 Iyar 5785
Fri, May 9 2025 11 Iyar 5785
